Case Management Medical Director – Remote

UnitedHealth Group is hiring a Case Management Medical Director to work remotely from Five Points, Wake County, NC. This senior clinical leadership role oversees case management programs, drives quality improvement, and ensures optimal patient outcomes.

Key Responsibilities

• Lead and supervise a multidisciplinary case management team across virtual platforms.
• Develop, implement, and evaluate evidence‑based protocols to improve patient care pathways.
• Collaborate with physicians, pharmacists, and health‑tech partners to integrate data‑driven solutions.
• Monitor performance metrics, conduct root‑cause analyses, and report outcomes to senior leadership.
• Provide clinical guidance, mentorship, and continuing education for staff.
• Ensure compliance with federal, state, and payer regulations.

Required Qualifications

• MD or DO degree with board certification in a relevant specialty.
• Minimum 8 years of clinical experience, including at least 3 years in case management or care coordination leadership.
• Strong knowledge of Medicare/Medicaid, value‑based care models, and health‑IT systems.
• Excellent analytical, communication, and stakeholder‑management skills.
• Ability to work independently in a fully remote environment.

Preferred Experience

• Experience with Optum or UnitedHealth Group platforms.
• Familiarity with population health analytics and predictive modeling.
• Prior involvement in large‑scale quality improvement initiatives.

Compensation & Benefits

Base salary $109,493.72 annually. UnitedHealth Group offers comprehensive health benefits, 401(k) matching, tuition reimbursement, and robust professional development programs.

Frequently Asked Questions

Is this position fully remote?

Yes, the Case Management Medical Director role can be performed entirely from a remote location in Five Points, Wake County.

What clinical experience is required?

Applicants need an MD or DO, board certification, at least 8 years of clinical practice and 3 years of case‑management leadership.

What is the salary for this role?

The position offers a fixed annual salary of $109,493.72.